22D2179150 CLIA NUMBER - IDMANN ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 22D2179150
  • Facility Name: IDMANN ASSOCIATES LLC
  • Facility Address: 130 LIBERTY ST, SUITE 5A
    BROCKTON, MA
    ZIP 02301
  • Facility Phone: 401 575-3647
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NNAMDI AMAECHINA
  • NPI Number: 1609658350
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 22D2179150
LAB Type Physician Office
Facility Name IDMANN ASSOCIATES LLC
Street 130 LIBERTY ST, SUITE 5A
City BROCKTON
State MA
ZIP 02301
Phone 401 575-3647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director DR. NNAMDI AMAECHINA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025